NATHAN LARSON (NPI# 1427194299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427194299 |
| Entity Type | Individual |
| Full Name | NATHAN LARSON |
| Credential | LCSW |
| Practice Address |
311 S Main St Suite 100 O Fallon MO 63366-2807 |
| Practice Telephone | 6362811990 |
| Practice Fax Number | 6362811995 |
| Mailing Telephone | 6362811990 |
| Mailing Fax Number | 6362811995 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW001056 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | VALUE OPTIONS PROV NUMBER | 562150 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366949455 | Nathan Larson | Preventive Medicine | 601 Quincy St., Athletics / Paavo Nurmi Gym, Hancock, MI 49930-4993 | 2018-04-06 |
| 1790030716 | Nathan L Larson | Podiatrist | 520 Birchwood Ave Ste A, Bellingham, WA 98225-1700 | 2012-07-16 |
| 1760757371 | Nathan Larson | Dentist | 86ds/sgd, Unit 3215, Apo, AE 09094 | 2012-03-14 |
| 1891283271 | Nathan Scott Larson | Community Health Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2018-05-01 |
| 1073051157 | Nathan P Larson | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-02-08 |
| 1255683777 | Nathan S Larson | Nurse Anesthetist, Certified Registered | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2012-10-08 |
| 1306028295 | Nathan Larson | Psychologist | 9106 N Meridian St, Suite 100, Indianapolis, IN 46260-1884 | 2007-12-03 |
| Street Address |
311 S MAIN ST SUITE 100 |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730420084 | Carrie Anderson Dunning | Counselor | 311 S Main St, Suite 100, O Fallon, MO 63366-2807 | 2013-03-12 |
| 1093052961 | Debra Lee Johnson | Social Worker | 311 S Main St, Suite 100, O Fallon, MO 63366-2807 | 2013-01-11 |
| 1841565363 | Mark Gronski | Social Worker | 311 S Main St, Suite 100, O Fallon, MO 63366-2807 | 2012-03-16 |
| 1366725277 | Katie Ingebretson | Social Worker | 311 S Main St, O Fallon, MO 63366-2807 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994620 | Danielle Marie Harper | Social Worker | 210 Thorn Brook Dr, O Fallon, MO 63366-4975 | 2020-08-28 |
| 1720698236 | Gina S Roppa | Social Worker | 1 Baldridge Ct, O Fallon, MO 63368-8233 | 2020-08-09 |
| 1194342170 | Renata B Sledge | Social Worker | 1329 Pepperidge Dr, O Fallon, IL 62269-3041 | 2020-06-25 |
| 1417596156 | Jessica Beasley Gunther | Social Worker | 201 S Hilgard St, O Fallon, IL 62269-2113 | 2019-12-28 |
| 1699250043 | Bethany Besand | Social Worker | 7425 Heathermoor Ln, O Fallon, MO 63368-7232 | 2018-10-02 |
| 1508306622 | Katie Kessler | Social Worker | 1100 Rock Creek Elementary School Dr, O Fallon, MO 63366-7577 | 2017-03-08 |
| 1659723591 | Amy Vallem | Social Worker | 8 Eagle Ctr Ste 15, O Fallon, IL 62269-1947 | 2016-07-03 |
| 1992174759 | Sandhill Counseling and Consultation, LLC | Social Worker | 801 Woodlawn Ave Ste 15, O Fallon, MO 63366-7647 | 2015-09-22 |
| 1033507652 | Rachel Salazar | Social Worker | 209 Woodland Ct, O Fallon, IL 62269-3500 | 2015-01-05 |
| 1518360171 | Amanda R Lewis | Social Worker | 1405 N Green Mount Rd Ste 230, O Fallon, IL 62269-3494 | 2014-09-26 |
| Find all providers in O FALLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.